TEACH Act Checklist

 

Instructor Name: 

Video Title: 

Copyright Information: 

Notes on required video:  (Please include chapter designations for DVD capture or time index for VHS capture, as well as details on which Blackboard course to link the videos from.) 

 

I have read the TEACH Act Guidelines, and indicate that the following checked statements are true:

·         This work is not produced for distance education. 

·         This work is lawfully made and acquired. 

·         This work is integral to the class session. 

·         This work is part of systematic mediated instructional activities. 

·         This work is directly related to or of material assistance to teaching. 

·         This work is (select one):

A nondramatic literary work.  (Entire work may be used.) 

A nondramatic musical work.  (Entire work may be used.) 

A reasonable and limited portion of any other work.  (For a performance.) 

A display of any work in an amount analogous to a live classroom setting. 

·         Reception of this work is limited to students enrolled in the class. 

·         Reasonable downstream controls of this work are being instituted by the following methods:

The work is not retained by students for longer than the class session. 

The work is not able to be disseminated beyond the recipients of the class. 

·         If requesting a conversion from analog format:  (If using a VHS rather than DVD.)

No digital version of the work is available to the institution. 

Available digital versions are technologically protected. 

 

Signed: _______________________________ Date: 

When this form has been completed, please print out this page, sign the form, and submit it along with your tape or DVD to Academic Technology.